主动脉内球囊反搏在急性心肌梗死冠脉介入术术后无复流现象中的治疗作用

Intraaortic Balloon Counterpulsation in Acute Myocardial Infarction Percutaneous Coronary Intervention Postoperative Therapy Effect of no Reflow Phenomenon

目的研究主动脉内球囊反搏(IABP)在急性心肌梗死(AMI)冠脉介入术(PCI)术后无复流现象中的临床治疗情况。方法收集2013年12月~2015年1月期间在本院进行AMI、PCI术后的无血流患者60例,随机分为观察组、对照组(n=30),观察组在手术中进行IABP治疗,对照组手术中未使用IABP,对比观察两组患者相关临床指标。结果两组治疗前心肌损伤(BNP、MYO)值无显著性差异,治疗10 d后心肌损伤值逐步恢复正常范围,入院10 d两组心肌损伤(BNP、MYO)值有显著性差异(P<0.05)。观察组BNP值上升幅度显著低于对照组,观察组MYO下降速度显著优于对照组;入院10 d、入院90 d、入院180 d时观察两组患者彩色超声心动图各数值间有显著性差异(P<0.05)。结论IABP可有效提前AMI、PCI术后无复流患者的BNP峰值,且对于提高患者左心室射血能力,改善心功能具有重要临床价值。

Objective To study the intraaortic balloon counterpulsation( IABP) in acute myocardial infarction( AMI) percutaneous coronary intervention( PCI) postoperative no reflow phenomenon in clinical treatment. Methods Collected during December 2013-January 2013 in our hospital for AMI,PCI of 60 patients with no blood flow,were randomly divided into observation group and control group( n = 30),the observation group in the surgery for aortic balloon counterpulsation( IABP) treatment,the control group in the operation without the use of IABP,observed two groups of related clinical indicators. Results The two groups before treatment of myocardial damage( BNP,MYO) value,there was no significant difference,treatment of myocardial injury after 10 d values gradually returned to normal range,two groups of myocardial injury admitted to 10 d( BNP,MYO) values have significant difference( P < 0. 05). Observation group BNP value increase significantly lower than the control group,observation group MYO decreased significantly than control group; Hospital 10 d,90 d,180 d admission to hospital when observed between two groups of color echocardiography in patients with various numerical have significant difference( P < 0. 05). Conclusion IABP can effectively advance the PCI postoperative AMI patients with no reflow peak BNP,and to improve the ability of patients with left ventricular ejection,improve heart function has important clinical value.